Endocrinologists at work: management of hyponatremia in clinical practice
- Autori: Arnaldi, G; Arvat, E; Berton, A M; Corona, G; Faustini Fustini, M; Ferrante, E; Razzore, P; Peri, A
- Anno di pubblicazione: 2023
- Tipologia: Articolo in rivista
- OA Link: http://hdl.handle.net/10447/638536
Abstract
Hyponatremia is the most frequent electrolyte disorder among hospitalized patients and its prevalence increases with age. Multiple conditions lead to a reduction of serum sodium concentration ([Na+]), but in about one-third of cases, the cause of this alteration is the Syndrome of Inappropriate Antidiuresis (SIAD). Noteworthy, hyponatremia, which may cause neurological and extra-neurological (e.g., psychological, skeletal, muscular) alterations, is associated with a more negative outcome in many clinical conditions, including cancer. On the other hand, the normalization of serum [Na+] has a beneficial effect on patients’ outcome. Therefore, in principle, every clinician should be familiar with the management of hyponatremia. However, the endocrinologist is usually considered as one the reference figures. A group of Italian endocrinologists with a solid expertize in the management of hyponatremia met on December 20, 2022, in order to discuss different issues related to real-life management of hyponatremia. The following is a summary of the proposed questions and the answers shared by the group